Shiloh Springs Care Center Inc - Trotwood Nursing Home
General Information
UPDATEFederal Provider Number
366302
Provider Name
SHILOH SPRINGS CARE CENTER INC
Provider Address
3500 SHILOH SPRINGS ROAD
TROTWOOD, OH 45426
TROTWOOD, OH 45426
Provider Phone Number
9378541180
Provider SSA County
580
Provider County Name
Montgomery
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARRIAGE INN OF TROTWOOD, INC
Date First Approved to Provide Medicare and Medicaid services
2004-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.68636
Reported LPN Staffing Hours per Resident per Day
1.06439
Reported RN Staffing Hours per Resident per Day
1.02500
Reported Licensed Staffing Hours per Resident per Day
2.08939
Reported Total Nurse Staffing Hours per Resident per Day
4.77575
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03485
Expected CNA Staffing Hours per Resident per Day
2.45355
Expected LPN Staffing Hours per Resident per Day
0.78752
Expected RN Staffing Hours per Resident per Day
1.32130
Expected Total Nurse Staffing Hours per Resident per Day
4.56236
Adjusted CNA Staffing Hours per Resident per Day
2.68653
Adjusted LPN Staffing Hours per Resident per Day
1.12181
Adjusted RN Staffing Hours per Resident per Day
0.57964
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21943
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-01-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2012-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2011-06-03
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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600 West National Road |
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